Website Information

Host site on PinkInkSites.com?
No I do NOT have my own domain name. I would like to host my website at Pink Ink Media (ex: example.pinkinksites.com)

I have my own domain name that I would like to use specified below: (That I have registered/purchased from somewhere like GoDaddy.com. NOTE: you must contact your server administrator (ex: GoDaddy) to set up forwarding your domain to http://www.pinkinksites.com)

Site Name:
Site URL:
Site Template:	01 02 03 04 05 06 07 08 09 10 Examples
Contact Information
First Name:
Last Name:
Street Address:
City:
State:
ZIP Code:
Email:
Admin User Name:
Admin Password:	Repeat

Payment Information

One Time Payment - $ 1500
Installment Payment - $300.00*
* Plus$ 108.33 for 12 months